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Dv8tattoos

1758 Concord Ave.

Concord CA 94520

Phone:925 680 0386

 

 

 

 

First Client's Name

First Name*

Middle Name

Last Name*

Phone*
First Client's Date of Birth*
First Client's Signature*
Second Client's Name

First Name*

Middle Name

Last Name*
Second Client's Date of Birth*
Third Client's Name

First Name*

Middle Name

Last Name*
Third Client's Date of Birth*
Fourth Client's Name

First Name*

Middle Name

Last Name*
Fourth Client's Date of Birth*
Fifth Client's Name

First Name*

Middle Name

Last Name*
Fifth Client's Date of Birth*
Sixth Client's Name

First Name*

Middle Name

Last Name*
Sixth Client's Date of Birth*
Seventh Client's Name

First Name*

Middle Name

Last Name*
Seventh Client's Date of Birth*
Eighth Client's Name

First Name*

Middle Name

Last Name*
Eighth Client's Date of Birth*
Ninth Client's Name

First Name*

Middle Name

Last Name*
Ninth Client's Date of Birth*
Tenth Client's Name

First Name*

Middle Name

Last Name*
Tenth Client's Date of Birth*
Upload legal proof of age (DMV ID or Drivers license, passport, school ID + birth certificate)
  
Click to customize text box label
Valid file types: JPG, GIF, PNG, and PDF
Client's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Medical Questions
do you have a skin condition that may interfere with getting or healing the tattoo?*
No
Yes
are you prone to dizzieness or fainting*
No
Yes
do you have diabetes, epilepsy, hemophilia, a heart condition, or do you take blood thinning medication*
No
Yes
Are you the recipient of an organ or bone marrow transplant, if so have you taken the prescribed preventive regimen of antibiotics that is required by my doctor in advance of any invasive procedure such as tattooing or piercing?*
Does not apply to me
Yes
No I havent taken my medication in order to get a tattoo
Are you allergic to latex?*
No
Yes
Are you currently pregnant or nursing?*
No
Yes
Do you have a mitrovalve prolapse, or have you been told to take antibiotics before a dental procedure?*
No
Yes
Do you have any known Mental Impairment that may affect your descision in getting a tattoo?*
No
Yes
Do you have any medical conditions your artist should be aware of?*
No
Yes

Ask your artist for needle lot# and expiration date to enter here
The Fine Print
I WAIVE AND RELEASE to the fullest extent permitted by law each of the Artist and the Tattoo Studio from all liability whatsoever, for any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise from the application of my tattoo, whether caused by the negligence or fault of either the Artist or the Tattoo Studio, or otherwise. Both the Artist and the Tattoo Studio have given me the full opportunity to ask any and all questions about the application of my tattoo and all of my questions have been answered to my total satisfaction. I acknowledge that it is not reasonably possible for the representatives of Dv8tattoos and Body Piercings to determine whether I might have an allergic reaction to the pigments or the process used in my tattoo or piercing and I agree to accept the risk that such is possible. The Artist and the Tattoo Studio have given me instructions on the care of my tattoo while it's healing, and I understand them and will follow them. I acknowledge that it is possible that the tattoo can become infected, particularly if I do not follow the instructions given to me. If any touch-up work to the tattoo is needed due to my own negligence, I agree that the work will be done at my own expense. I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by the Artist without duress or coercion. I acknowledge that infection is always possible as a result of obtaining a tattoo or piercing, particularly in the event that I do not take proper care of my tattoo or piercing and I agree to follow all instructions concerning the proper care of my tattoo or piercing while it is healing. Neither the Artist nor the Tattoo Studio is responsible for the meaning or spelling of the symbol or text that I have provided to them or chosen. I understand that if my skin color is dark the colors will not appear as bright as they do on light skin. Variations in color and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I also understand that over time, the colors and the clarity of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin. A tattoo is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin to its exact appearance before being tattooed. I acknowledge receipt of the written instructions advising me of the proper care of my tattoo and I recognize the absolute necessity for following those instructions. I release all rights to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. (If you do not approve this provision, please advise and remind your Artist and the Tattoo Studio NOT to take any pictures of you and your completed tattoo!). I acknowledge that I have been given adequate opportunity to read and understand this document, that it was not presented to me at the last minute, and I understand that I am signing a legal contract waiving certain rights to recover against the Artist and the Tattoo Studio. The inks we use are not FDA approved, and the health consequences of using these products are unknown. I have been fully informed of the inherent risks, associated with getting a tattoo. I fully understand that these risks, known and unknown, can lead to injury, including but not limited to infection, scarring, difficulties in detecting melanoma and allergic reactions to tattoo pigment, latex gloves, and/or soap. Having been informed of the potential risks associated with getting a tattoo, I still wish to proceed with the tattoo application and I freely accept and expressly assume any and all risks that may arise from tattooing. *
No
Yes
Do You Consent?
I consent to this tattooing or piercing. I also acknowledge that the above said business is not responsible for any mishap or injury occurring during or after that tattoo. I agree to keep the area clean and infection free. I must maintain clean hygiene and follow instructions to keep the area infection free. I acknowledge that the artist is using sterile equipment to do the tattoo. I hereby declare that I am of legal age 18+ years old*
No
Yes
Is there writing/name in your tattoo

Correct spelling of tattoo
AfterCare Instructions (please photo or screenshot)

FIRST 24-48 HOURS

-Your artist will recommend leaving protective film on for 24 to 48 hours, after which time you will remove bandage in the shower. No ointments or lotions are required unless you are feeling dry.

The first 3‐5 days of healing

‐During these first days is Normal to experience some bruising, tenderness,

localized swelling, light scabbing, and weeping of fluid including ink.

‐As your body heals itself, it will need to be kept clean to prevent damage to

your new art. Wash with mild soap with no added

fragrance, then rinse your soap off thoroughly as to prevent

irritation. After washing your tattoo, gently pat dry with a clean

towel.

‐To reduce the risk of infection, use a clean towel.

‐No Baths, Pools, or recreational water activities, gardening, or tattoo 

contact with animals, for one to two weeks. (showers are fine)

‐If skin is dry, you may apply a thin and moisturizing layer of unscented lotion

or artist recommended aftercare. Please consult with your tattoo artist if

you have a certain product in mind.

‐Always wash your hands before applying product. To prevent cross contamination

always purchase new aftercare. Make sure to throw

leftovers away once they are no longer needed.

‐persistent redness and or yellowish coloring or discharge may be a sign of

infection. Contact your artist or seek medical attention if symptoms

continue.

‐limit heavy exercise for two weeks.

NEVER SHARE AFTERCARE WITH OTHERS

Disclaimer: These guidelines are based on a combination of vast professional

experience, common sense, and research. This is not to be considered a substitute

for medical advice from a doctor.

-If you experience sings of redness, swelling, tenderness, fever, or yellowing discharge this may be a sign of an infection and we advise that you seek medical attention.

These suggestions are simply suggestions from your friendly professionals at DV8

Tattoos and Body Piercing.

A COPY OF AFTERCARE can be found at DV8TATTOOS.COM

I have read and understood the aftercare*
No
Yes
Please upload photo of legal proof of age (passport, school ID + birth certificate, Drivers License, ID)
  
Click to customize text box label
Valid file types: JPG, GIF, PNG, and PDF
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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